Navy and Marine Corps
A Public Affairs Publication of the U.S. Navy Bureau of Medicine and Surgery
MEDNEWS Items of Interest
August is National Immunization
Awareness month, a reminder of the
importance of immunization as an inte-
gral part of overall health of individuals,
famiUes and communities. This month is
a good time to puU out your shot records
and see if you are up-to-date on your
vaccinations. For more information visit:
httD://www.health.mil/News And Mul-
The Navy Dental Corps will celebrate its
100th birthday Aug. 22.
Navy Weeks 2012 - Navy Medicine will be
participating in the following 2012 Navy
Weeks: Chicago (Aug. 13-20), Buffalo
(Sept. 10-17) and Houston (Oct. 22-28).
Find us on Facebook. U.S. Navy Bureau of
Medicine and Surgery, follow us on Twit-
ter @ NavyMedicine, read our publica-
tions on Issuu, check out our photos on
Flickr, watch our videos on YouTube and
read our blog on Navy Live.
Did You Know?
Since March 2012, more
than 6,500 samples
have been tested for
synthetic drugs within
Navy Medicine. While a
relatively minor percentage
have come back positive.
Sailors and Marines need
to know they are putting
their careers at risk if they
partake in these activities.
XAVY MKDICIXE DEPLOYEUS BEGLX
K0L]i:-3 KAXDAIIAK COlJKSli:
supports the current role of U.S. Navy
healthcare professionals in contingency
operations around the world.
"Navy Medicine has historically been
capable of operating in any environ-
ment," he said. "A pillar of our training
- team training with service members
with whom they'll rely on heavily dur-
ing the deployment - is exercised using
high-fidelity simulation, which provides
enhanced current skills to be able to do
what they do best - save lives."
The NEMTI- sponsored Kandahar
Role-3 Hospital course is a two-week
program designed to foster teamwork,
and build and hone medical skills specific
to what U.S. military medical profes-
sionals might expect while on deploy-
ment to the Role 3 Hospital at Kandahar
Airfield in Afghanistan. The course was
By Mass Communication Specialist
1st Class (SW) Bruce Cummins, Navy
IVIedicine Support Command Public
CAMP PENDLETON, Calif. - Nearly 200
active-duty and Reserve Sailors scheduled
to deploy to the world's busiest military
trauma hospital began the second itera-
tion of a training program July 30 at the
Naval Expeditionary Medical Training
Institute (NEMTI) here.
The training evolution, designed to
integrate and develop them as a medi-
cal team, marks only the second time
the entire staff of enlisted and commis-
sioned medical professionals and support
personnel assigned to a forward-deployed
medical facility began pre-deployment
This is an effort NEMTI Officer-
In-Charge Capt. Thomas Sawyer, said
See Kandahar, Page 3
U.S. Navy photo by Mass Communication Specialist Bruce Cummins
Capt. Sharon Troxel, a Naval Expeditionary Medical Institute Kandahar Role 3
Course subject matter expert and guest instructor, explains the Focused Abdominal
Sonographic Trauma exam to students during a skill stations class at Camp Pendle-
ton, Calif., Aug. 3. The course is a two-week program designed to foster teamwork,
and build and hone medical skills specific to what U.S. military medical profession-
als might expect while on deployment to the Role 3 Hospital at Kandahar Airfield in
Surgeon General's Corner
Synthetic drugs, cutting
short careers and lives
As the surgeon general of the Navy, I
am in awe of the young Sailors and Ma-
rines who serve so gallantly My most sol-
emn days are those when I see a shipmate
fall from wounds or illness. I also have
the solemn task on occasion to review the
case of a vibrant Sailor or Marine who
played Russian roulette with synthetic
drugs such as "spice" or "bath salts" and
lost, costing them their career, future and
The issues that keep me up at night
are the ones that have the most impact
on personnel readiness and our ability to
help Sailors and Marines meet their mis-
sions. For me, undoubtedly the preva-
lence and growing popularity of synthetic
forms of drugs like marijuana, the most
common of which are spice and, in more
recent months, bath salts, is one of those
issues. These products are enough of a
concern in our society that the federal
government placed a ban on the sale of
these man-made designer compounds
earlier this month.
The U.S. military represents a micro-
cosm of our much larger population and
in many ways strives to be a reflection of
the society we serve, so we share many
of the same health and safety issues as
the general population, including the
increased use of these dangerous and
debilitating drugs - which not only affect
our service members' health, but also our
Navy and Marine Corps
U.S. Navy Bureau of Medicine and Surgery
l>?i ce Adm. Matthew L. Nathan
U.S. Navy Surgeon General
Capt. Dora Lockwood
Public Affairs Officer |
Deputy Public Affairs Officer
Valerie A. Kremer
lEDNEWS Managing Editor
U.S. Navy Bureau of Medicine and Surgery
^700 Arlington Blvd. Ste. 5122
i^alls Church, Va. 22042-5 122 j
1 Public Affairs Office ,
readiness as a military force. For nearly a
year now. Navy leaders have taken a mul-
titiered approach to combating this es-
calating issue in our forces, and with our
partners in the Naval Criminal Investiga-
tive Service, Naval Personnel Command
and throughout our naval enterprise,
we have made progress in deterring and
It is important for Sailors and Ma-
rines to know that despite manufacturer
claims, we can and are testing for these
The chemicals found in these drugs are
not regulated by the U.S. Food and Drug
Administration and no two batches are
alike, meaning it is nearly impossible to
determine the drug's potency. Most pack-
aging clearly reads, "Not for human con-
sumption," and that is for good reason.
Military and civilian health professionals
continue to learn more about the negative
health effects of synthetic drug use, and
the data are alarming.
Bath salts are essentially chemically
engineered products meant to stimulate
the central nervous system — similar to
drugs such as methamphetamine, cocaine
Detrimental effects of the drug, which
is also marketed as "plant food" or "herb-
al incense," include but are not limited to
extreme paranoid delusions and hallu-
cinations, anxiety, agitation, aggression,
tremors, seizures and dysphoria.
As the leader of the medical commu-
nity for the Navy and Marine Corps, I
cannot emphasize enough to our sailors
and Marines that using synthetic drugs
really is just like playing Russian roulette
with their health, not to mention their
Navy and Marine Corps personnel
who wrongfully possess, use, promote,
manufacture or distribute designer drugs
or products containing synthetic can-
nibinoid compounds such as spice or
paraphernalia maybe subject to puni-
tive action under Articles 92 and 112a
of the Uniform Code of Military Justice,
adverse administration action, or both.
Consumption of any of these products
meets the criteria for drug abuse and is
In March, we started screening for
spice and more recently for bath salts.
Vice Adm. Matthew L. Nathan
U.S. Navy Surgeon General
We have tested more than 6,500 samples
since then and while a relatively minor
percentage have come back positive.
Sailors and Marines need to know they
are putting their careers at risk if they
partake in these activities. In the past
year alone, hundreds of Sailors were held
accountable for use or possession of these
products. One-time use is enough for
discharge from service.
To deter drug abuse, I have urged all in
positions of leadership to be fuUy engaged
in their command's implementation plan
to continually communicate and educate
all hands as to the Navy's zero-tolerance
policy on synthetic designer drugs.
Each command's aggressive awareness
and education campaign should begin
during indoctrination and be reinforced
throughout the year. We cannot over-
communicate this issue. Accountability
for those who abuse these substances will
help deter their abuse.
Given the rise in usage, deterring syn-
thetic drug abuse must be an all-hands ef-
fort. But as I mentioned before, this is not
just a military issue. I implore everyone
to take care when making decisions about
using synthetic drugs. It's not healthy. It's
not legal. It's not worth it.
I can promise that Navy Medicine will
continue to shine a light on this growing
concern by delivering sustained, coor-
dinated, aUgned and targeted messages
throughout the Navy and Marine Corps
to ensure every person representing our
armed forces is fully informed of the dan-
gers of synthetic drugs, and I encourage
my civilian medical counterparts to do
the same in their communities.
It is my honor to serve you as the Navy
Navy Surgeon General Mghights Navy Medicine in Pacllic Nortiiwest
From U.S. Navy Bureau of Medicine and Surgery Public Affairs
SEATTLE - The U.S. Navy Surgeon General concluded a three-
day visit to the Pacific Northwest region, Aug. 3, which included
tours of Navy Medicine facilities and high level engagements
with community, athletic and educational leaders.
During his visit to the region, U.S. Navy Surgeon General,
Vice Adm. Matthew L. Nathan, toured the medical facilities
at Naval Hospital Bremerton and Naval Branch Health Clinic
While there he met with leadership and conducted all hands
calls with the Sailors, staff and officers. He praised their work
in supporting and enabling the warfighter and ensuring their
readiness to deploy on the sea, above the sea, under the sea or
on the battlefield.
"We are in the readiness business," said Nathan, "and you
have incredible worldwide responsibilities. In the Navy we place
a tremendous amount of responsibility on our Sailors, and I
applaud and appreciate what you do every day. Everywhere a
Sailor or Marine goes. Navy Medicine goes with them."
While in Seattle, Nathan visited the University of Washing-
ton School of Medicine. His visit included discussions with Dr.
Thomas E. Norris, University of Washington professor and chair
of the Department of Family Medicine, and other university
Norris described the mutual value of the relationship be-
tween the Navy and the University of Washington.
"We are so proud of the Naval Hospital Bremerton residency
program," said Norris.
He went on to discuss how much faculty members learn from
each other about both military and civilian medicine and the
mutually enriching relationships between university faculty.
Navy medical leadership and medical school students.
Nathan thanked the university staff for their interest in the
Photo by Doug Stutz
Vice Adm. Matt L. Nathan, U.S. Navy surgeon general and
chief, Bureau of iviedicine and Surgery tours the Seattle
Seahawk Training Facility and confers with Seahawk Team
Physician Dr. Stan Herring and the NFL on football concussion
awareness and prevention, including legislative efforts.
U.S. Navy and praised their family medicine residency network.
"You have an iconic program here and a very robust relation-
ship with the Navy," said Nathan, "and we can leverage what
systems like yours have to offer."
The surgeon general also had the opportunity to attend a
Seattle Seahawks practice at their training facility in Renton,
Wash. There, he met with Dr. Stanley A. Herring, co-director,
Seattle Sports Concussion program, and key members of the
Seahawks' staff. The visit included a tour of the training facility
and discussions on the prevention and treatment of concussive
injury and traumatic brain injury.
Throughout the exchange, Nathan and Herring stressed the
See Pacific, Page 3
From page 1
initially offered in January 2012 and met
with resounding success. Service mem-
bers previously deploying in support of
operations in Africa, Afghanistan and
Iraq were either sent individually or in
small groups, replacing other personnel
with similar specialties or Navy Enlisted
Classifications (NECs) on a "one-for-one"
U.S. Navy Bureau of Medicine and
Surgery, Navy Medicine Support Com-
mand and the operational training lead-
ership, however, recognized the need for
additional requirements in the training
pipeline, suggesting a course that would
allow deploying personnel the opportu-
nity to train together from the inception,
fostering a sense of teamwork and unity
imperative for the continued success
medical personnel have affected in some
of the most dangerous areas in the world.
"It is gratifying to watch personnel
from all skill levels come together as a
team," Sawyer said. "We are training both
Role 2 and Role 3 deployers during this
course. They arrived as individuals and
will depart as medical teams ready to
perform their specific mission."
The term "role" describes the tiers in
which medical support is organized, with
Role 3 describing the capabilities of a
The course, designed by NEMTI, was
approved by the US Fleet Forces Com-
mand, CENTCOM and the former Navy
Medicine Support Command in response
to deployment requirements and feed-
back received from previously deployed
personnel including past and current
commanding officers of the North
American Treaty Organization-run Role
3 Kandahar Medical Facility. The course
includes a variety of medical training
The curriculum for this course in-
cludes JTTS Clinical Practice Guidelines
and incorporates concepts of pre-de-
ployment trauma requirements such as
tactical combat casualty care. Additional
subjects include ethics, psychiatric disor-
ders. Army working dogs and unexplod-
Kandahar Role 3 students participate
in a lecture/question and answer forum
with members from the NMCSD Wound-
ed Warrior Battalion, and the course
culminates with a mass casualty drill.
"It is a privilege to serve the Marines,"
Sawyer said. "The Wounded Warriors
provide a final crescendo that brings the
trauma instruction and team building all
Service members completing the Kan-
dahar Role-3 Hospital course will next
complete U.S. Central Command military
requirements aboard training sites such
as Fort Dbc, N.J., and Fort Jackson, S.C.
NEMTI, the premier U.S. Navy train-
ing facility for expeditionary medicine,
reports to the Navy Medicine Operational
Training Center (NMOTC) in Pensacola,
Fla., and the Medical Education and
Training Command in San Antonio,
August 2012 -MEDNEWS -3
Pacific Partnersliip closes in Cambodia
By Mass Communication Specialist 3rd Class Clay M.
Whaley, Pacific Partnership 2012 Public Affairs
SIHANOUKVILLE, Cambodia - Pacific Partnership 2012
(PP12) held a closing ceremony, Aug. 11, finishing the two week
mission that took place across four different provinces including
Sihanoukeville, Kampot, Koh Kong and Phnom Penh, Cambo-
The ceremony consisted of two key speakers to include Wil-
liam E. Todd, U.S. Ambassador to Cambodia, and Vice Adm.
Tea Vinh, of the Kingdom of Cambodia Ministry of Defense.
Cambodia is the last of four-mission ports supported during
the four-and-a-half month PP12 deployment aboard the Mili-
tary Sealift Command hospital ship USNS Mercy (T-AH 19).
PP12 Mission Commander Capt. Jim Morgan said he had a
wonderful experience building relationships with the Cambo-
"These relationships are important to have in order to work
together to respond to natural disasters. It's been a pleasure to
be in Cambodia and I thank the government and military in
Cambodia for inviting us to be here," he said.
Vice Adm. Tea Vinh said PP12's visit to Cambodia has been
the testimony reflecting the progress and sustainability of
friendship and cooperation between Cambodia and the U.S.
Pacific Partnership, an annual U.S. Pacific Fleet humanitar-
ian and civic assistance mission now in its seventh year, brings
Photo by Ki'istopher Radder
Hospital Corpsman 2nd Class Jason Smith shows a group of
Cambodian medical students how to make a temporary splint
aboard the Military Sealift Command hospital ship USNS Mer-
cy (T-AH 19) during Pacific Partnership 2012, Aug. 4. Cambo-
dia is the final mission port for Pacific Partnership 2012.
together U.S. military personnel, host and partner nations, non-
government organizations and international agencies to build
stronger relationships and develop disaster response capabilities
throughout the Asia-Pacific region.
Peter Harsch, right, explains the process of
building custom-fit prosthetic limbs to U.S.
Ambassador to Georgia John R. Bass in
the prosthetics laboratory at Naval Medical
Center San Diego's Comprehensive Combat
and Complex Casualty Care facility, J uly
31. Following his tour of the facility, Bass
visited a group of Georgian Armed Forces
service members who are being treated for
combat injuries at the center.
From page 3
importance of increased emphasis on
concussion awareness, medical research,
and development of initiatives to prevent
concussive injury on both the battlefield
and the athletic field.
"There are mutual benefits in exchang-
ing information and learning from one
another," said Herring.
Nathan described the efforts Navy
Medicine continues to work in the pre-
vention of concussive injury and trau-
matic brain injury treatment.
4 -MEDNEWS -August 2012
"We share similar excitement and
challenges for our Sailors and Marines
as you do for your athletes," said Nathan.
"The dialogue and cross pollination that
we share is essential to improved care for
both our warriors and your athletes, and
I am encouraged by this opportunity to
In a fitting finale of his Pacific North-
west visit, the U.S. Navy's Surgeon Gen-
eral and Cmdr. Douglas Stephens, officer
in charge of the Branch Health Clinic
Everett, commemorated the birthday of
the Medical Services Corp with a cake-
cutting ceremony. The Medical Ser-
vices Corp has become an indispensable
component of Navy Medicine, serving 31
specialties ranging from clinical providers
to scientists, to health care providers. The
Medical Services Corp will celebrate its
65th birthday Aug. 4.
Speaking to assembled Sailors, Nathan
commended the work they do every
day in supporting the Navy's maritime
"This is my first visit to this clinic, and
I am impressed by what I've seen," said
Nathan. "I do not take for granted what
you do every day, especially in today's all-
volunteer force. I am proud to serve with
such an outstanding group of profession-
als. Keep up the tremendous work."
Navy Medicine meets world-class leaders during Milwaukee Navy Week
By Valerie A. Kremer, U.S. Navy
Bureau of Medicine and Surgery
MILWAUKEE - Navy medicine leader-
ship met with top health care, education-
al, and athletic leaders to discuss shared
initiatives in research and development,
wounded warrior care, and energy initia-
tives as part of Milwaukee Navy Week,
Rear Adm. Margaret Rykowski, deputy
fleet surgeon, U.S. Fleet Forces Com-
mand, and deputy director. Navy Nurse
Corps, reserve component, was the senior
medical officer representing Navy Medi-
cine during Milwaukee Navy Week.
"It is a pleasure to be back in Milwau-
kee, which has a rich heritage of support-
ing the military," said Rykowski. "The
Navy truly is a 'Global Force for Good'
and Milwaukee Navy Week provides
a wonderful opportunity to show the
people of Milwaukee and Wisconsin what
their Navy does, how we take care of our
dedicated men and women in uniform,
and the possibilities for those looking to
pursue a career in the Navy."
Out of the nearly 330,000 active duty
Sailors across the Navy, 1,200 come from
Wisconsin, nearly 700 reserve Sailors
hail from Wisconsin and more than 6,000
retired Navy men and women are cur-
rently living in the state of Wisconsin,
During a meeting at the Clement
Zablocki Veterans Affairs Medical Center,
Rykowski met with leadership and staff
and discussed the similarities between
the Patient Aligned Care Team (PACT)
and Navy Medicine's Medical Home Port
model. In both models, the patient is as-
signed a team of health care professionals
who takes care of the patient's continuum
and coordination of care.
"In nursing and in medicine it is our
job to educate patients and look at their
goals and needs," said Deborah Hagen,
division manager for primary care, and
coordinator, PACT program. "It is won-
derful to learn how the Medical Home
Port model in Navy Medicine is similarly
working in fulfilling patients' goals as
Photo bv Valerie A. Kremer
Deputy Fleet Surgeon, U. S. Fleet Forces Command and Deputy Director, Navy
Nurse Corps, Reserve Component, Rear Adm. Margaret Rykowski recieves a tour of
GE Healthcare during the Navy's commemoration of the Bicentennial of the War of
1812 in Milwaukee. This celebration coincides with Milwaukee Navy Week, one of
15 signature events planned across America in 2012.
During her presentation, Rykowski
highlighted Navy Medicine's critical role
in the maritime strategy with regards to
the use of smart power through hu-
manitarian assistance/disaster response
"Navy Medicine plays a vital role in
the execution of the maritime strategy:
forward presence, deterrence, sea control,
power projection, and maritime security,
because no ship, submarine, aircraft or
other Navy asset deploys without the sup-
port of Navy Medicine," said Rykowski.
"In addition. Navy Medicine projects
and executes 'smart power', the maritime
strategy's final priority, through its most
visible role in humanitarian assistance/
disaster relief (HA/DR) missions."
Rykowski also met with the Milwau-
kee Bucks basketball team medical staff
and toured their training facility during
her visit to discuss similarities between
the care provided for players and service
"It was a pleasure having Rear Adm.
Rykowski visit the Milwaukee Bucks dur-
ing Milwaukee Navy Week," said Marc
Boff, head athletic trainer, Milwaukee
Bucks. "It was great to learn about the
similarities regarding injury prevention
and treatment between our players and
Other events during the week included
a visit with A.O. Smith, GE Healthcare,
AIDS Resource Center of Wisconsin,
the University of Wisconsin-Milwaukee
Chancellor, and the Milwaukee Kiwanis
Club, to name a few.
Milwaukee Navy Week (Aug. 6-13) is
one of 15 Navy weeks across the coun-
try this year. Navy Weeks are designed
to show Americans the investment they
make in their Navy and increase aware-
ness in cities that do not have a signifi-
cant Navy presence. The week-long event
also commemorates the Bicentennial of
the War of 1812, hosting service members
from the U.S. Navy, Marine Corps, Coast
Guard and Royal Canadian Navy.
View more Navy Medicine pliotos online at:
www.fliclcr.com/ pliotos/ navymedicine/
August 2012 -MEDNEWS • 5
Pain management team broadens access to care in Bremerton
By Douglas H Stutz, Naval Hospital
Bremerton Public Affairs
BREMERTON, Wash. - Naval Hospital
Bremerton hosted members of the Navy
Comprehensive Pain Management Pro-
gram (NCPMP) for a fact-finding, brain-
storming collaboration visit Aug. 8 and 9.
"The pain management team was here
to meet and gather information on pro-
"Chronic pain impairs
readiness and is a
we have at NHB,'
NHB Director of
"We all want to
know how to
al, and interdisciplinary pain care across
Navy Medicine, ensuring treatment effi-
cacy through practice guidelines, educa-
tion, and analysis of treatment outcomes.
"There is a crisis in effectiveness in
handhng pain," explained Lesnik. "The
number one issue from beneficiaries and
active duty personnel is about pain. Pain
is the most common complaint. Its loss of
function and it impacts quality of life. We
have used the tools
with our stake-
holders in all of our departments and
clinics to help our beneficiaries."
According to Capt. Ivan Lesnik, Navy
Medicine West NCPMP lead, the general
objectives for this U.S. Navy Bureau of
Medicine and Surgery initiative program
are to aid in the restoration of function
and relief of pain by broadening access to
evidence -based, standardized, multimod-
-Capt. Ivan Lesnik
Navy Medicine West NCPI\/IP lead
that we have but
that's not enough."
The Navy re-
sponse to improve
handling pain capa-
bilities is based on
the 2010 National
tion Act and 2011
Assistant Secretary of Defense for Health
Affairs memorandum requiring standard-
ized, comprehensive, multidisciplinary
pain management in the Military Health
"This is really about pushing our care
to the deck plates, especially improving
access to care with a big emphasis on
restoring function and capability," said
Lesnik. "Anything that erodes readi-
ness is a deterrent. The major pain areas
continue to be the lower back, joint and
shoulder pain for the junior and senior
Lesnik attests that chronic pain is at
a current state where it is a disease and
economic burden to the entire country.
"From the utiHzation of care stand-
point, the most common office visit com-
plaint is chronic pain, which is directly
associated with loss of function, quality of
life and workdays," said Lesnik. "Chronic
pain impairs readiness and is a common
medical evacuation cause."
Lesnik notes that special emphasis will
be placed on improving quality of life and
functionality, decreasing pain, increasing
patient satisfaction, reducing pain-related
costs, lessening limited-duty days, and
improving access to care for complex
acute, high-risk acute and chronic pain
"The vision is readiness through resto-
ration of function and relief of pain," said
Lesnik. "Navy Medicines solution at our
military treatment facilities, hospitals and
clinics is to have multidisciplinary pain
care teams that we call R4 Pain teams. R4
is reference to readiness, restoration of
function, relief of pain and research."
NHCCC Uglits the bite' to help prevent mesquito-berne Illnesses
By Bill W. Love, Naval Health Clinic Corpus Christi, Public
CORPUS CHRISTI, Texas - Public Health Services (PHS) at
Naval Health CHnic Corpus Christi (NHCCC) Aug. 7, described
on-base monitoring of West Nile virus (WNV) and recommen-
dations for reducing mosquito bites.
"Our 'Fight the Bite' approach to the prevention of mosquito-
borne illnesses begins with a vigilant surveillance program con-
ducted by our staff in Preventive Medicine (PREVMED). This
basic surveillance consists of trapping mosquitoes around the
base in order to identify the number, species, and gender of the
local mosquito population," said Dr. M. Rony Francois, NHCCC
director, PHS and public health emergency officer.
Although the Texas Department of State Health Services
reports a higher than usual number of human West Nile virus
cases in Texas this year due to the warm winter and recent rains,
PREVMED is proactively performing year-round inspections
"Mosquito surveillance serves as a sentinel for human dis-
ease, because if you are finding West Nile virus in the mosquito
population during trapping, guess what, it's just a matter of time
before it shows up in humans," added Francois.
PREVMED maintains traps located throughout family hous-
ing and at the nearby Childhood Development Center, and one
of its representatives described the process.
6 -MEDNEWS -August 2012
Hospital Corpsman 3rd Class Taylor Boynton, a preventive
medicine representative at the Naval health clinic at Naval
Air Station Corpus Christi, collects pond water for mosquito
traps located in base family housing. Clinic preventive medi-
cine staff monitor the on base mosquito population year-
round, focusing on the summer months when the insects are
more abundant and there is an increased chance of acquiring
"We've had a lot of complaints about mosquitoes this sum-
mer because they like the humidity and the heat," said Hospital
Corpsman 3rd Class (FMF) Taylor Boynton, while he mixed a
See Prevent, Page 8
USS Emory S. Land conducts medical evacuation
By Mass Communications Specialist 2nd Class Jared X.
Aldape, USS Emory S. Land Public Affairs
USS EMORY S LAND, At Sea - USS Emory S. Land (AS 39)
conducted an emergency medical evacuation (MEDEVAC) for a
crewmember Aug. 7.
At approximately 12:00 p.m., the crewmember, who had
suffered a heart attack, was lowered by stretcher into a tug
boat arranged by the Glenn Marine Group of Malaysia, a ship's
husbandry group who is a sub contractor of On Call Interna-
tional, the medical support group for Military Sealift Command
Lt. Shalimar Enright, Land's undersea medical officer, assisted
the transfer of the patient and returned to the Land via Navy
fast boat provided by the Royal Malaysian Navy (RMN).
"Although it was an unfortunate occurrence, this MEDEVAC
served to demonstrate the strong ties between the U.S. and
Malaysian navies," said Enright. "We worked together in a safe
and effective manner, and we were able to save a shipmate's life
in the process".
The patient was transported ashore in Malaysia where he will
receive emergency medical treatment.
"We had great support from our operational chain of com-
mand in quickly coordinating this medical evacuation," said
Capt. Paul Savage, Land's commanding officer. "The mission
was a success because of the team efforts of our embassy team
USS Emory S. Land (AS 39) conducted an emergency medical
evacuation (MEDEVAC) for a crewmember Aug. 7.
in Malaysia and our Navy's good relationship with the Royal
Land, homeported in Diego Garcia, is underway in the South
China Sea and on an extended deployment conducting coordi-
nated tended moorings and afloat maintenance in the U.S. 7th
fleet area of operations.
To learn more about USS Emory S. Land (AS 39), visit www.
as39.navy.mil or www.facebook.com/emorysland .
Okinawa Naval hospital opens doors to students
By Lance Cpl. Brianna Turner, III Marine
Expeditionary Force / Marine Corps
OKINAWA, Japan - Students of Am-
erAsian School of Okinawa and Kubasaki
High School visited the U.S. Naval Hos-
pital Okinawa at Camp Lester to partici-
pate in the science, service, medicine and
mentoring program July 23-27.
The program, also known as S2M2, is
designed to provide learning opportuni-
ties to high school students interested in
pursuing a career in science or medicine.
"This program has been in the U.S.
since 2007, but this is the first time we
have done it here," said Navy Lt. So Y.
Newton, the head of staff education and
training at U.S. Naval Hospital Okinawa.
Newton began planning for imple-
mentation of this program at the hospital
about two months ago.
"I have always wanted an opportunity
like this for my students," said Midori
Thayer, the principal and founder of Am-
erAsian School of Okinawa. "The hospital
reached out and asked if I would like to
participate, and I was so excited to bring
During the weeklong summer pro-
gram, the students toured the operating
room, cast room and research lab. They
also learned about the pharmacy, pre-
ventive medicine and cardiopulmonary
"I think this program is fantastic," said
Lt. Cmdr. Emeka Ofobike, the head of the
orthopedics department at the hospital.
"The students get to come into the hospi-
tal, see what the medical field entails, and
experience a lot of hands-on training."
"The students have never had such a
big opportunity," said Midori.
While the students toured the hospital,
they had the chance to experience having
a cast firsthand.
"We actually sent the children home
with a cast on their arm," said Newton.
"Many of the students were excited to
play with the casts, but they don't realize
how tedious it really is to have a broken
bone. We placed a cast on each one of the
children's dominant arm, so they could
experience what it is like when something
as simple as combing their hair or brush-
ing their teeth becomes difficult."
The orthopedic technicians removed
the casts from the children's arms the
This is the first time the program has
been brought to this hospital, but will not
likely be the last.
"If everything goes well, we hope to
have more training during winter break,"
said Newton. "Hopefully we can expand
it to (other) schools."
Navy Petty Officer 3rd Class Marco
Brown places a cast on Erica J ones dur-
ing the science, service, medicine and
mentoring program at U.S. Naval Hos-
pital Okinawa at Camp Lester J uly 23.
Jones is a student of AmerAsian School
of Okinawa, and Brown is an orthopedic
technician with the hospital.
August 2012 -MEDNEWS • 7
ARMY Mi:»ALS PKESliliYni;!) TO COKPSM]i;^'
By Pfc. Anne K. Henry, Marine Corps Bases Japan
CAMP CASEY, Republic of Korea — Three U.S. Navy hospital
corpsmen with 12th Marines were awarded the Army Achieve-
ment Medal Aug. 7 at Camp Casey Army Garrison, Republic of
Korea, during Korean Marine Exchange Program 12-7.
Hospital Corpsman 2nd Class Geoffrey Ward and Hospital-
men Mario Gallon and Zachory Myers, attached to 12th Ma-
rine Regiment, 3rd Marine Division, III Marine Expeditionary
Force, received the medals for rendering medical assistance to
U.S. Army soldiers involved in a Humvee rollover.
"The Humvee went off the road and tumbled over the side,"
said Senior Chief Petty Officer Reese D. Ritter, the senior en-
listed medical advisor with the regiment. "The soldiers made
their way back up the road the corpsmen saw them and pro-
vided medical assistance."
The soldiers were at Nightmare Range, Republic of Korea, in
support of a ROK and U.S. Marines' bilateral live-fire training
event when their vehicle rolled over.
The training the corpsmen received earlier during KMEP
12-7 turned out to be critical, as the training scenario presented
itself in real life.
"I am very glad the two soldiers are doing well," said Ward.
"We saw one soldier on the road, and he looked pretty shaken
up. We could tell he needed help, so we gave him medical care
and evacuated him. We were just doing our jobs."
The medals were presented by U.S. Army Lt. Col. Jeremy P.
McGuire, the commanding officer of 1st Battalion, 15th Field
Artillery Regiment, 2nd Infantry Division.
By Pfc. Anne K. Henry
U.S. Army Lt. Col. Jeremy P. McGuire, left, presents an Army
Achievement Medal citation to Hospital Corpsman 2nd Class
Geoffrey Ward at Camp Casey Army Garrison Aug. 7 during
Korean Marine Exchange Program 12-7. McGuire is the com-
mander of 1st Battalion, 15th Field Artillery Regiment, 2nd
Infantry Division. Ward is with 12th Marine Regiment, 3rd
Marine Division, III Marine Expeditionary Force.
"This is the first time I've presented the Army Achievement
Medal since taking command of the battalion, and I'm present-
ing it to sailors from the Navy," said McGuire. "That's something
that you don't see very often, but I'm grateful for their assistance
and glad to be awarding them."
From page 6
batch of stagnant pond water with grass
and dried rabbit food.
After pouring the mixture into rub-
berized tubs outfitted with fan-powered
traps, mosquitoes attracted to their new
environment are captured when they are
sucked up into the net covering.
When summer began in June, on-base
residents had to contend with swarms of
"I think our high point was 76 mos-
quitoes in one trap about a month ago,"
said Boynton. "When we find 20 mosqui-
toes in a trap that is extremely high."
After the insects are trapped and col-
lected, Boynton says that a brief stint in
the freezer immobilizes them for further
study under the microscope. The team
then sorts out all of the males and gathers
the females for supplementary analysis by
"Our team works closely with Army
Capt. Crystal Lindaberry, officer in
charge. Naval Air Station Corpus Christi
Veterinary Services," said Francois. "She
facilitates the provision of additional
testing on appropriate specimens in San
"The other important aspect of our
preventive strategy is to educate every
family about useful precautions that help
to reduce the risk of mosquito bites," he
When you are outdoors, use insect
repellent containing an EPA-registered
active ingredient. Follow the directions
on the package.
Many mosquitoes are most active at
dusk and dawn. Be sure to use insect
repellent and wear long sleeves and pants
at these times or consider staying indoors
during these hours.
Make sure you have good screens on
your windows and doors to keep mosqui-
Get rid of mosquito breeding sites by
emptying standing water from flower
pots, buckets and barrels. Change the
water in pet dishes and replace the water
in bird baths weekly. Drill holes in tire
swings so water drains out. And keep
children's wading pools empty and on
their sides when they are not in use.
"Currently, the mainstay of treatment
for West Nile virus infection is support-
ive. Therefore, the preventive activities
remain the essential elements of our strat-
egy for reducing morbidity and mortality
from this disease," said Francois.
If you'd like to submit an article or have an idea for one,
contact MEDNEWS at 703-681-9032 or Valerie.Kremer@med.navy.mil
To keep up with Navy
Medicine news and daily
updates foiiow us on...
^ ^ ^ flickr [^
8 -MEDNEWS -August 2012
Navy Medicine Researcli
NAMRU-3 supports multinational force, observers in the Sinai
From NAMRU-3 Public Affairs
CAIRO - A team from the U.S. Naval
Medical Research Unit No. 3 (NAM-
RU-3) in Cairo, Egypt provided vector bi-
ology and preventive medicine guidance
to the Multinational Force and Observers
(MFO) in the Sinai in May. The team in-
cluded NAMRU-3 vector biology labora-
tory technician Noha Watany and Capt.
Jesse Monestersky, who provided vector
biology and preventive medicine guid-
ance when the team visited six remote
sites for vector assessment.
At the request of the MFO's preventive
medicine unit, the assistance visit focused
on improving MFO Sinai vector surveil-
lance, reporting, and vector control. The
joint MFO preventive medicine unit and
NAMRU-3 team assisted with identifica-
tion and control of the filth fly, sand fly,
and mosquito vectors, which can trans-
mit diseases to soldiers or are of high
nuisance importance. The team set up
traps and instructed the preventive medi-
cine staff on collection and processing of
the specimens to be sent to NAMRU-3.
Training was conducted on sand fly trap-
ping and processing and leishmaniasis.
"Ms. Noha had studied the sites before
the visit and knew the issues she'd meet,
making the visit extremely productive,"
said Capt. Hinnerichs, deputy of Force
The MFO also requested cHnical sup-
port for healthcare providers at South and
Noha Watany, NAMRU-3 vector biol-
ogy laboratory technician and Sgt. First
Class Ishmael in the Multinational Force
and Observers's preventive medicine
North Camp clinics on diarrheal disease,
occupational medicine, and principles
of mass casualty. Monestersky provided
training to South Camp clinic staff' on
infectious diarrhea and an introduction
to occupational medicine, including a
discussion on threats posed by open pit
burning. He also provided a lecture on
mass casualty to MFO North CHnic staff.
The NAMRU-3 team was able to pro-
vide highly relevant and needed support
to address the mosquito problem in the
South Camp area.
"This visit paved the way for future
collaboration and operational support to
MFO on pest control (filth flies, mos-
quitoes, sand flies) and for entomology
research with joint collaboration between
MFO PrevMed and NAMRU-3 Vector
Biology," said Hinnerichs.
Future work is planned to include
novel methods of sand fly control, includ-
ing Ivermectin impregnated rodent food
pellets and fungal application into rodent
burrows, and potential diarrheal study
Noha Watany (left), Capt. Hinnerichs (center). Multinational Force and observers
PrevMed staff, and the Colombian contingent gather after the Center for Disease
Control's light trap demonstration.
Force and Ob-
Watany checl< filth
fly trapping de-
vices in the Sinai.
August 2012 -MEDNEWS • 9
Voices from the Field
USNS Mercy: Amplifying thie Quality of Life
By IVIaj. Cameron Jamleson,
Australian Army, Combined l\/ledia
Bureau, USNS IVIercy (T-AH 19)
A profoundly deaf Cambodian man
can hear the world around him thanks
to the help of the U.S. Navy-led Pacific
Partnership 2012 mission and Williams
man Lorn Siiha [Editor's Note: Siiha is
his first name] has had his quality of life
amplified to an exciting new level thanks
to the gift of a product that was not in his
own means to obtain.
Siiha was born with practically no
hearing and has led a silent life, commu-
nicating via sign language.
With the help of Cambodian non-prof-
it organisation M'Lop Tapang the young
man is learning how to be a waiter at the
charity's Sandan Restaurant, which runs a
hospitality vocational training program.
Siiha's life changing-moment found its
genesis when the restaurant manager ap-
proached two Australian military nurses
serving on Pacific Partnership who were
dining at the restaurant.
The manager wanted to know if Siiha
could be tested onboard the USNS Mercy,
the massive hospital ship that serves as
the floating base for the Pacific Partner-
He was hopeful the multinational team
could provide Siiha with a hearing aid of
some description to help him be more
situationally aware of his surroundings
and perhaps learn to talk.
The nurses decided to approach their
U.S. Navy commanders with the proposal
of having Siiha tested for the one remain-
ing Williams Sound Pocket Talker Pro
hearing amplifier, one of two donated by
the U.S. company.
Permission was granted and on the
appointed day Siiha and his friend, a self-
taught sign language translator, boarded a
ferry for the short ride to the Mercy and a
chance for assisted hearing.
U.S. Navy audiologist Lt. Amanda
Boudreaux met with Siiha on arrival and
took him to the ship's audiometric testing
booth to see what hearing the man still
"We determined that he had a mild to
severe hearing loss in one ear and a mild
to profound loss in the other ear," said
Bourdreaux. "There was enough hear-
10 -MEDNEWS -August 2012
ing ability for him to be able to use an
amplifier, so we gave him our last one. It
was really exciting to be able to help this
young man to understand a bit more of
what's going on in his world."
For Siiha it was a life-changing mo-
"I can hear a little bit of what's going
on around me now," he said via his sign
language translator. "It's so much better
than before, I'm very grateful to everyone
for making this happen."
Now that Siiha can hear his surround-
ings he can try to learn how to speak for
the first time.
For Lt. Rebecca Linich, one of the two
Australian nurses who first heard Siiha's
story, a chance meeting at a restaurant
has led to a standout moment for her
"It feels very satisfying, it feels like I've
made a difference to someone," said Lin-
ich. "I thought organizing this would be
too difficult, but it wasn't. Everyone saw
the bigger picture and wanted to help,
and now we've changed a person's life."
Photo byMaj. Cameron jamieson
U.S. Navy audiologist Lt. Amanda Boudreaux fits hearing impaired Cambodian man
Lorn Siiha with a free hearing amplifier, one of only two donated to the ship by Wil-
liam Sound in the U.S. Siiha can now hear enough to give him situational aware-
ness. Siiha's plight was brought to the attention of the U.S. Navy doctors by two
ADF nurses. The event took place during Pacific Partnership 2012's mission stop in
dian man Lorn
Siiha sits in an
the U.S. Navy
for tests to
gist Lt. Aman-
'yAlaj. Caniewn jamieson